Transcript
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Welcome to the Clinician Researcher podcast.
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I'm your host, Toyosi Onwuemene,
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and it is a pleasure to be speaking with you today.
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Thank you so much for tuning in.
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Today, I am talking about when going above and beyond
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may not be the right thing to do.
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And it's an interesting, interesting episode.
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I'd love to hear your thoughts at the end of it.
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But before I get started, I just want to let you know
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that Clinician Researcher Academy is open for enrollment.
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Yes, this is our weekly group coaching academy,
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and this is where we help clinicians build the habits
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that are necessary to help them succeed as researchers.
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We help shape identity.
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We help you really get the results that you want
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in being able to do research that resonates with you,
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research that resonates with you,
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and also in being able to get publications
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and get grants submitted,
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whatever it is that you want to do
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in terms of growing your academic career.
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So excited to let you know that we are open for enrollment,
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and if you want more information,
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you can go to coagcoach.com, which is our website,
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and look for the tab Academy,
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and there's information about the Academy right there.
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All right, so I hope that you will think about joining us
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as we help clinicians really make the transitions necessary
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to succeed as researchers.
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Okay, so going above and beyond
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is our thing as physicians, right?
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We just go the extra mile,
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and it's part of our training.
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This is not even just so much like,
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oh, we're born this way.
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It's that we've been practicing this for so long.
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It is the way we think.
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It's the way we do things.
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So when you were an undergrad
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and really trying to get into med school,
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you were kind of the overachiever
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doing all the extra stuff, the shadowing,
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the doing the extracurricular so that you could write,
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hey, look at all the stuff I did.
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Let me get into the pre-med program, right?
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So you did that.
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And then you got into med school,
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and you were the person who studied and studied and studied
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and took tests and aced the tests.
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Some of us didn't, some of us didn't.
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But you did all that, and then you became a resident.
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Oh my gosh, like how hard you worked.
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You even took overnight call.
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Then you became a fellow, and wow, you went the extra mile.
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You're staying up late.
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It's our tendency to go above and beyond.
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While we become faculty members,
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going above and beyond is not always beneficial.
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It's not.
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I would say going above and beyond is important,
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and please do that as much as you can.
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But if you try to go above and beyond in everything,
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wow, it's kind of hard.
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It's challenging.
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No wonder you're burned out.
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No wonder you feel like you wanna quit.
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The question is, what are the things you need
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to actually go above and beyond in,
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and what are the things you need to do with minimal effort?
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And it's challenging to know how to do that, right?
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It's challenging to know how to do that.
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But in fact, one of the things that I,
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a story I wanna share is just, you know,
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I just actually, I'm recording this
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after a coaching session, and one of the clients,
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one of our clients talked about how, you know,
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she's on this project.
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It's a collaborative project, and she seems to be
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the one who's driving everything.
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And she was like, well, you know,
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all the rest of the collaborators are attendings,
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and I'm the only person who's a resident,
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and I really feel like, you know,
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I feel guilty when I don't have extra results,
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when things haven't moved forward
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like they're supposed to.
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And it turns out that she had a requirement
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for a project that she's completed.
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She's actually completed the project,
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but now she's going above and beyond.
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She's like, I'm done, but I wanna help
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to see this thing succeed.
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And it turns out it's a QI project,
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and there's a lab director who's part of this QI project,
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but she's on the project only to the extent
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to which it fulfilled a requirement for her.
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But so now she's on the project
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because she wants to get a good letter from the person
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who's gonna be a program director next year.
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And so when we really broke it down,
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it turns out that she was really trying
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to make this person happy because she was hoping
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that if she continued working hard,
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then this person would like her more.
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But it wasn't actually to her benefit
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that she continued to make these kinds of investments
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because you know what, she had actually finished
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the project, she had finished her responsibility
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on the project, and now her continued working
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on the project was actually affecting other things
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that she was supposed to be doing.
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And so I tell her story just to share
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that this is a common challenge for us.
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We're going above and beyond in so many things,
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and in reality, not all things are prioritized equally,
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not all things are equally important.
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So how do we separate going above and beyond
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in the right things versus going above and beyond
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in things that actually may not make sense?
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So I wanna talk to you about questions to ask yourself.
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Okay, questions to ask yourself.
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So if you find yourself doing more than anyone else
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in any collaboration, I want you to ask yourself why.
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If you are the one who's doing all the work,
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and this is not an unusual scenario,
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found myself in this situation,
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and I'm guessing that you have too,
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but if you find yourself as the one
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who's doing all the work,
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and it feels like you're pulling more weight
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than everybody else, pause, stop.
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Say, hmm, how come this is the case?
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And it's really important for you to pause and ask
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because it helps you figure out how to move forward next.
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Now you're pulling all this weight,
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but the work is not moving forward
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because the work really is work for five people.
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And if the five people are not carrying their weight,
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wow, you're gonna be carrying a lot of weight,
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but you're also not gonna be making much progress.
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And so the opportunity to stop and ask why it seems
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as if you're the only one doing all the work is important
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because it helps you decide how best to move forward.
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Okay, so that brings me now to number two.
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You wanna review for yourself
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what are your obligations on this project.
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Okay, let's say you're the leader of the project,
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you're the PI on this project,
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and you know what, it's really important to you.
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And if you don't do the work, the work doesn't move forward
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and you're like, well, I'm gonna carry it all myself.
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You should ask yourself
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are the other people needed on the project?
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Hopefully they're needed
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because you actually need them to do the work.
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But if they're not, then maybe make it a solo project.
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Don't make it a collaborative project.
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But if it's a collaborative project
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and it needs to be collaborative,
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then you do need the engagement of the collaborators.
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And so they all need to buy in
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or the work doesn't move forward.
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And if the collaborators say, well, we don't wanna buy in,
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it's important information,
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it's information that allows you to say,
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well, how do I wanna move forward?
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Do I wanna continue to work with collaborators
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who are actually not pulling any weight?
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Or do I want a new project, find new collaborators?
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And sometimes it actually is harder to continue,
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you're like, ah, I've already invested a lot,
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I'm just gonna keep going.
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It is hard to continue to drag people
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who don't wanna do the work, very, very hard.
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And in fact, sometimes they will derail you
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from the finish line.
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You have to decide, is it important enough
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to continue to drag these people along
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or do I cut my costs, cut my losses and move forward?
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So here is an opportunity for you to stop
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and assess what are my obligations here?
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Especially if you're not even the lead on the project,
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maybe you're not in the PI,
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but somehow you're working harder
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than everybody else on the project.
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Ask yourself, what are the things I'm required to do?
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You wanna understand your obligation to the project.
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What did I commit to doing from the beginning?
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I may be the one carrying everything now,
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but what was my commitment from the beginning
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and what was the commitment of the others
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in the collaboration?
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And that's important so you recognize
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how far have you gone beyond what you promised to go
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and who else is responsible, co-responsible with you
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for moving the project forward, okay?
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The next thing I want you to do
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is to now list all your other priorities
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because sometimes these kinds of projects
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can feel overwhelming.
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And there's a sense that, wait a minute,
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what else should I be working on?
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What else should I be doing, right?
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So what you wanna do is you wanna list your priorities
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and you wanna ask, well, what else am I supposed to be doing?
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What are the other things I'm supposed to be doing?
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So in this particular case of the coaching client
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that I'm talking about,
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she actually had a major exam coming up
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and that was a priority.
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And what's interesting is while she was really focused
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on putting all the energy in this project
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that she was carrying further than the people
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she was working with,
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she actually didn't have time to study for the exam.
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And here's the thing, if she didn't pass the exam,
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the people on the project would not be happy, right?
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These are her attendings.
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So if you are so busy doing a project
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that you weren't even supposed to really be doing
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and then you didn't study for the work
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that you were supposed to be doing,
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people are not gonna be happy with you.
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And so it was an important strategy
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for her to go through and list,
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well, what are the other things I really need to be focused on
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and where does this particular project rank
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relative to the other work that I'm doing, right?
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And when she put them all in rank order,
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what she found out was that, wait a minute,
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this is like at the bottom.
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I've completed my obligation.
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Everything else I'm doing here
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is still number 17 on my list,
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maybe more like number eight,
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but it's not at the top of the list.
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And so all this extra work
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where she was going above and beyond
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was actually not serving her
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because in going above and beyond on a low priority project,
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she was not able to do even the bare minimum
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on a high priority project.
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So how important it is for you to actually be able
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to prioritize the work that you're doing
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so that you recognize where this particular project fits
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and whether you should even be giving this project
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the light of day.
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So we went from talking about, well,
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I wanna go above and beyond to, wait a minute,
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should I even be doing any more work on this project?
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And at the end of our coaching call,
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she came to understand that actually she needed
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to submit her quit notice.
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She needed to say, hey guys,
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it's been great working with you
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and I'm moving on to the other things.
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But she was only able to discover that that was needed
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after she really took the time to prioritize
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her list of activities
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and put this particular project in context
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of all the other things that she was doing.
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Okay.
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The next thing is to ask yourself, well,
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how does this project overlap with benefits that help me?
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And this is really important,
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especially for us when we're early career
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and we feel as if like we owe other people
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and we need to do things that benefit them
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even if it doesn't benefit us.
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In life and in academia,
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the best work you're gonna do benefits you
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and it benefits others as well.
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It's always a win-win that really moves you forward.
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If you're in a situation where all the benefit,
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all the investments coming from you,
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but all the benefit goes to someone else,
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it feels heavy, you're gonna resent the other people,
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especially at the end of all the work
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when they don't even recognize
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how much of an investment you've made.
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And so you owe it to yourself to start to ask the question,
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what isn't it for me?
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How can I make sure that at the end of this experience,
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I actually get what I need?
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And it's not a selfish question.
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It allows you all to pull in the same direction.
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Because here's the thing,
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if you have no benefit, but all the investment,
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you may not feel like really making an investment
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because you don't perceive that you're getting much benefit.
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And so ask yourself,
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how can I overlap the benefit here with benefit for me?
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I'm so glad that I'm doing this work
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that allows this director of a certain lab program
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to get a QI project done that helps the lab
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then to meet its metrics or meet its requirements,
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or at least allows them to test a particular new process.
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It's great that that work is able to do that,
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but does it help you advance?
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Does it help you write another publication?
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Does it help you gain visibility?
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If at the end of the day,
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the only benefit is that somebody else is pleased,
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it's time to reconsider the project.
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I'm gonna say that again.
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If at the end of working on this project,
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the only benefit is that somebody else is pleased with you,
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then it is not worth even working on a project
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and definitely not worth going above and beyond.
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Now, here's the thing that came up in this conversation.
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It was like, yeah, but this person's gonna write me
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a letter of recommendation.
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It's like, well, who else can write you
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a letter of recommendation?
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Is this the only person
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who can write that letter of recommendation?
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And well, how does this project,
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continue to work on this project
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beyond what you've done so far?
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How does it get you more
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of what she would already maybe write for you right now?
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And the more she had time to think about it,
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she recognized that, wait a minute,
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I've done a good amount of this project.
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I'm at the point where I've done a lot of great things.
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I don't actually need to do any more.
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And that's important
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because trying to make other people happy
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is actually a losing battle.
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We're not very good at making other people happy.
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So it's kind of, it's a project you should just drop.
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Like if you're doing anything in life
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to make anybody else happy,
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you should start to really seriously think about
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whether it's even working.
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It's like you're putting all this energy
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and you're not even getting the outcome that you want
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because you can't choose for other people.
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You cannot guarantee that they're gonna like you.
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All you can guarantee is that you do the work
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you're supposed to do.
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In this situation, my client had actually done so much more
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than she really needed to do.
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She'd gone above and beyond already
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and going more above and beyond was really not necessary.
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Okay.
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The last thing I wanna ask you to do
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is to call out people pleasing.
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And I will tell you that there is no shame of judgment
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in being a people pleaser
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because in reality it's part of our training in medicine.
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You know, we struggled hard to impress people enough
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to get into medical school.
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And we were just begging to get in.
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We're like, I don't care where you take me.
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I just wanna get in.
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And then we get to residency
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and we have all these subjective evaluations.
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And it's like, hey, sometimes I feel like
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I'm just here to make you happy.
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And that's what we're training to do.
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And then we get to our fellowships and we're like, hey,
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I just want the attending to be happy.
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And so we practice a lot of people pleasing
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and it doesn't necessarily serve our careers.
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And maybe it works for us up until a certain point
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but the moment we become faculty,
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it becomes less and less effective.
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And so what I wanna invite you to do
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is to see the areas that you are going above and beyond
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just as a people pleasing strategy and call it out.
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Say, hmm, I'm just doing this to make someone happy.
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And that's important.
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So you recognize where you really should focus your energies
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and you don't invest more than is necessary
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because people are pleasing.
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00:15:01,960 --> 00:15:03,320
It just doesn't get you very far.
378
00:15:03,320 --> 00:15:05,360
I mean, it may get you far with this person
379
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but what really ultimately happens
380
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is that the person you're pleasing
381
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doesn't even know how much you're putting into it.
382
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They don't really appreciate the work you're doing.
383
00:15:12,600 --> 00:15:14,400
And sometimes they turn around and they're like,
384
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yeah, your work sucks.
385
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And then it really hurts.
386
00:15:18,800 --> 00:15:20,960
Maybe you haven't experienced that, but I have.
387
00:15:20,960 --> 00:15:23,240
And it just, then you stop and you're like,
388
00:15:23,240 --> 00:15:25,720
why am I even bothering?
389
00:15:25,720 --> 00:15:26,640
And it's a great question.
390
00:15:26,640 --> 00:15:28,080
Why are you bothering?
391
00:15:28,080 --> 00:15:29,800
Why is that your goal?
392
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And how does that serve humanity
393
00:15:31,240 --> 00:15:33,320
in the way you wanna serve humanity
394
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in your role as a clinician researcher?
395
00:15:35,360 --> 00:15:36,440
All right, so those are the five things
396
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I want you to think about when going above and beyond
397
00:15:39,960 --> 00:15:41,880
is feeling especially icky.
398
00:15:41,880 --> 00:15:43,960
And you're like, I'm not sure I really wanna be doing this
399
00:15:43,960 --> 00:15:47,000
or it's feeling like a drag, it's feeling heavy.
400
00:15:47,000 --> 00:15:48,800
Ask yourself these questions.
401
00:15:48,800 --> 00:15:51,040
So the first question is why?
402
00:15:51,040 --> 00:15:53,600
Why am I doing the most work in this collaboration?
403
00:15:53,600 --> 00:15:55,480
The second thing is, well, what obligations
404
00:15:55,480 --> 00:15:56,800
do I have in this project?
405
00:15:56,800 --> 00:15:58,160
What do I absolutely need to do?
406
00:15:58,160 --> 00:16:00,120
And what are the things other people should be doing?
407
00:16:00,120 --> 00:16:02,320
Number three, list all your other priorities
408
00:16:02,320 --> 00:16:06,240
and rank this project relative to those other priorities.
409
00:16:06,240 --> 00:16:08,800
Number four, ask how much of this work
410
00:16:08,800 --> 00:16:11,600
actually overlaps with benefits for me
411
00:16:11,600 --> 00:16:13,600
as well as benefits for other people.
412
00:16:13,600 --> 00:16:15,920
And number five, call out people pleasing.
413
00:16:15,920 --> 00:16:19,360
If you recognize it, definitely call it out.
414
00:16:19,360 --> 00:16:21,960
So this week, I wanna invite you to think about a project
415
00:16:21,960 --> 00:16:24,680
that you may feel like it's dragging on you.
416
00:16:24,680 --> 00:16:26,600
Like, oh, every time you think about the project,
417
00:16:26,600 --> 00:16:28,320
you get bad feelings inside,
418
00:16:28,320 --> 00:16:30,000
you get an ugly knots in your stomach.
419
00:16:30,000 --> 00:16:31,720
Think about that project.
420
00:16:31,720 --> 00:16:35,680
And I want you to evaluate the investment
421
00:16:35,680 --> 00:16:37,320
relative to the benefit.
422
00:16:38,320 --> 00:16:39,600
And I wanna invite you to think about
423
00:16:39,600 --> 00:16:41,880
what could your experience be
424
00:16:41,880 --> 00:16:46,440
if you invested your energy in moving work forward
425
00:16:46,440 --> 00:16:48,520
instead of trying to make people happy?
426
00:16:49,560 --> 00:16:51,480
What could the outcome be?
427
00:16:52,440 --> 00:16:56,520
I'm excited about you putting energy into work
428
00:16:56,520 --> 00:16:59,240
that actually really advances your career.
429
00:16:59,240 --> 00:17:02,400
And so I hope that you'll rethink going above and beyond
430
00:17:02,400 --> 00:17:05,560
in every aspect of your life and be strategic
431
00:17:05,560 --> 00:17:07,560
about where you go above and beyond.
432
00:17:07,560 --> 00:17:08,960
All right, it's been an absolute pleasure
433
00:17:08,960 --> 00:17:10,120
talking with you today.
434
00:17:10,120 --> 00:17:11,800
Thank you so much for listening.
435
00:17:11,800 --> 00:17:13,600
I look forward to talking with you again
436
00:17:13,600 --> 00:17:40,200
on the next episode of the Clinician Researcher podcast.